-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, EHhFNWbWmOlteEyiva5I4G9pbLsdAzmCJyA6jIzJSfHhQuk9VENUr6P8HTWv9MPr 3sOYN8qgHgGL8k3JLPCZOQ== 0001242661-04-000082.txt : 20041214 0001242661-04-000082.hdr.sgml : 20041214 20041214165423 ACCESSION NUMBER: 0001242661-04-000082 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041210 FILED AS OF DATE: 20041214 DATE AS OF CHANGE: 20041214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RICH SIMON B CENTRAL INDEX KEY: 0001265583 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10920 FILM NUMBER: 041202158 BUSINESS ADDRESS: BUSINESS PHONE: 6034336131 MAIL ADDRESS: STREET 1: 30 PENHALLOW STREET CITY: PORTSMOUTH STATE: NH ZIP: 03801-3816 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FISHER SCIENTIFIC INTERNATIONAL INC CENTRAL INDEX KEY: 0000880430 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-PROFESSIONAL & COMMERCIAL EQUIPMENT & SUPPLIES [5040] IRS NUMBER: 020451017 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: LIBERTY LANE CITY: HAMPTON STATE: NH ZIP: 03842 BUSINESS PHONE: 6039265911 MAIL ADDRESS: STREET 1: LIBERTY LANE CITY: LIBEHAMPTON STATE: NH ZIP: 03842 4 1 c0001265583d20041214f4f.xml PRIMARY DOCUMENT X0202 4 2004-12-10 0 0000880430 FISHER SCIENTIFIC INTERNATIONAL INC FSH 0001265583 RICH SIMON B LIBERTY LANE HAMPTON NH 03842 1 0 0 0 Common Stock 2004-12-10 4 M 0 6720 47.9286 A 6720 D Stock Options (Right to buy) 47.9286 2004-12-10 4 M 0 6720 0 D 2004-08-02 2014-01-27 Common Stock 6720 0 D The shares underlying the option became fully vested and exercisable upon the merger of Apogent Technologies Inc. with and into Fox Merger Corporation, a wholly owned subsidiary of Fisher Scientific International Inc., on August 2, 2004. Todd M. DuChene 2004-12-14 -----END PRIVACY-ENHANCED MESSAGE-----